title: A case of bronchogenic cyst mimicking foreign body aspiration.
abstract: Bronchogenic cysts (BCs) can be life threatening if they compress vital structures in infants and small children. In particular, subcarinal cysts can be life-threatening and compromise the airways. In infants, the initial presentation may be respiratory distress. We report a case of mediastinal cystic mass compressing the main left bronchus. The case was an 18-month-old boy who had been admitted with acute respiratory distress. Chest x-ray showed overdistension of the left lung and a mediastinal shift. Foreign body aspiration was diagnosed. Magnetic resonance imaging was performed, which has shown a mediastinal cystic mass; therefore, the patient underwent thoracotomy. Surgical intervention revealed a subcarinal extrapulmonary BC that compresses the left main bronchus. The diagnosis of BC was confirmed with pathological investigation. In this report, we present a case of BC with the emphasis on the differential diagnosis with foreign body aspiration.
authors.affiliation: Department of Pediatric Surgery, Duzce University Medical School, Duzce, Turkey. aybarsozkan@yahoo.com
authors.forename: Aybars
authors.initials: A
authors.lastname: Ozkan
authors.forename: Mesut
authors.initials: M
authors.lastname: Okur
authors.forename: Murat
authors.initials: M
authors.lastname: Kaya
authors.forename: Adem
authors.initials: A
authors.lastname: Kucuk
mesh_terms: D001994:Bronchogenic Cyst / Q000175:diagnosis* / Q000601:surgery; D001999:Bronchoscopy; D003490:Cyanosis; D003937:Diagnosis, Differential; D003951:Diagnostic Errors; D004417:Dyspnea / Q000209:etiology; D005547:Foreign Bodies / Q000175:diagnosis*; D006801:Humans; D007223:Infant; D008279:Magnetic Resonance Imaging; D008297:Male; D053120:Respiratory Aspiration; D012128:Respiratory Distress Syndrome / Q000209:etiology; D012135:Respiratory Sounds / Q000209:etiology; D013908:Thoracotomy